Glycosylated haemoglobin - tlhahlobo e tlamang ho fumanoe ba le lefu la tsoekere mellitus le hlahlobo ya boemong ba matšeliso lona

Ikatisetsa tsa bongaka ho na le Maemong a ha ho hlahloba katleho ea meriana tsoekere-theola, le adequacy ea phekolo e balletsweng ke bakuli ba le lefu la tsoekere mellitus ka 'na e-ba thata. Ho bonahala eka ho ba le motho ea ikutloa hantle, 'me ho itima lijo tsoekere ka ho tloaelehile hae, empa se monyetla oa mathata a ka ba le mamello ee? Ka mor'a hore tsohle, ka tjhelete e ya tsoekere maling e hlahlojoa feela ka nako e ea thuto, palo ena hang.

Ka linako tse ling ho eketsa maemo tsoekere mali fumanoa batho ba phetseng hantle, ho etsa mohlala, ka mor'a ho amohela e khōlō palo ya lik'habohaedreite kapa ka tsela e feteletseng kelellong le maikutlong ho imeloa kelellong. Ka tsoekere maemo a ka ama ho noa meriana e itseng, tse kang lithibela-pelehi molomo, tse ling diuretics, lithethefatsi mafu a kelello. Ka maemong 'ohle thata phallela sa Analysis endocrinologist bakeng haemoglobin glycated, ka tataiso ea lipatlisiso, o ile a bua ka e le HbA1c.

Glycosylated haemoglobin - mabapi ena hlaha limolek'hule tsa tsoekere le haemoglobin A, ka tloaelo sena nka sebaka sa khaotse ka batho ba phetseng hantle. Ka tjhelete e ya haemoglobin alashwa glycation - 5-8%. Bakuli le lefu la tsoekere, hona palo ea eketseha ka makhetlo a 2-3 le ntse e tsoela pele ho pholletsa le bophelo ba khubelu seleng ea mali, ke hore,, matsatsi a 120. Hobane mali a na le batho ba bacha hammoho le ba hōlileng tsebong nyenyane khubelu, ka hona, a isoa le lilemo, ka karolelano ba khubelu seleng ea mali, e leng lekanang le halofo nako ea bophelo ba hae - matsatsi a 60.

Glycosylated haemoglobin, tekanyo ea eona e ke 4-6.1% ea kakaretso ea boemo ba haemoglobin, e bontsha tsoekere karolelano ka likhoeli tse peli ho fihlela ba teko ea mali. Ka hona, ho ka etsahala ho bona hore na ba ntse ba eketseha nako e telele ka tsoekere kapa ka hare ho likhoeli tse 2 tsa index ea sena e ne e le boemong ba tloaelehileng. Correlation pakeng tsa HbA1c le tsoekere maling bile ka lilemo tse ngata ho etsa lipatlisiso, empirically neng ba ikemiselitse hore ba ntse ba eketseha ka tsoekere mali ka 1,59 mmol / k ka 1% haemoglobin tlas'a glycation.

Maemong a mang, e beuweng teko bakeng sa haemoglobin glycated?

- bakeng sa diagnosing lefu la tsoekere le ho hlwaya pele boemo ba sona ba matšeliso;

- ho hlokomela ho phekola mahlahana hypoglycemic ;

- ho fumana hore na kotsi la mathata vascular ya lefu la tsoekere;

- ka maemong 'ohle ea tsoekere mamello litsebeng le phumano ya ea pele ho lefu la tsoekere;

- bakhachane ba ba kotsing ea ho tšoaroa ke lefu la tsoekere.

Tlhaloso ea teko fella bakeng sa lefu la tsoekere:

Ho 5,8% - lefu la tsoekere e hantle lefisa.

From% 8 ho tse 10 - karolo e 'ngoe lefisa lefu la tsoekere.

Tse fetang 12% - mpe lefu kotsi.

Endocrinology leka ho khetha phekolo e le hore haemoglobin glycated ne a le mefuta e fapaneng ya ho tloha 7 ho 8%. Ha ka nepo balletsweng kalafo phahameng boemo ba HbA1c khutla ho tlwaelehileng ka khoeli e 'ngoe ka mor'a phetoho ena.

The American Lefu la Tsoekere Association o buella thuto ea etsoa ha ho ka tlaase ho moo hangata ho feta le leng le likhoeli tse 6. Russia, e ho hlahloba HbA1c o abetsoe ho bakuli bohle ba fumana ho thusa insulin le hypoglycemic lithethefatsi, hang mong le e mong likhoeli tse 3. Ho ea ka boemo ba haemoglobin HbA1c ka ahloloa hore na kgonego phahameng ya bolwetse le mamello ea microvessels retina, tshenyo a liphio, 'me likhoele methapo ea kutlo.

Maemong a mang, ho ka khonehang ho khopama and analysis HbA1c?

Bohata phahameng diphetho hlokomela le eketseha maemo a haemoglobin fetal ka mali le tšepe khaello khaello ea mali. litsupa ba bohata lemoha fokotseha fracture ka lebaka la ho hemolysis tsa erythrocytes mor'a ho tšeloa mali kapa ho lahleheloa ke a maholohali a mali.

Analysis bakeng haemoglobin glycated abeloa batla ho feta (1 ka khoeli) ka bakuli ba nang le batho bao e seng maemo a tsela ea lefu lena le, haeba ba na le matla pataganeng lefu, basali ba baimana le lefu la tsoekere ho thibela ntshetsopele ya lefu ka lesea la.